Mary Kay Wolfe, OTD,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6242 Issued in CA

Practice address

2250 Alcazar St
CSC-133
Los Angeles, CA 90089-0229

Phone

(323) 442-3340

Fax

(323) 442-3351

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.k.wolfe@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306
  NPD (past)
• Usc Occupational Therapy Faculty Practice, Inc.

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1831297340
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962415877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MERIDIAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ALCAZAR ST",
            "address_2": "CSC-133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890229",
            "telephone_number": "323-442-3340",
            "fax_number": "323-442-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT6242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OT6242",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "954454491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garfield Wolfe I
• Gary Robert Wolfe, PH.D.
• Hannah Elizabeth Wolfe, MSW
• Jason B Wolfe, PA-C
• Julia Wolfe
• Michael W. Wolfe, MD
• Peter Rice Wolfe, M.D.
• Robert Norton Wolfe, M.D.
• Thomas Wolfe, PT, DPT
• Travis Wolfe

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.